Curriculum

The curriculum for the Physical Medicine and Rehabilitation Residency focuses on patient care and didactic teaching. Each year, we accept an average of seven new residents for three years of training. Assignments to the inpatient, outpatient, and consultation services are planned so that there is a balance between patient care and didactic teaching.

The American Board of Physical Medicine and Rehabilitation (PM&R) requires four years of postgraduate training to be eligible for board certification. This includes one year of internship in which the resident acquires basic clinical skills and three years of training in PM&R. Applicants are expected to arrange for their own preliminary year. We encourage all applicants to apply for a one-year preliminary Internal Medicine Program at The Mount Sinai Hospital (MSH) and Elmhurst Hospital Center (EHC).

As part of the residency, you will rotate through pediatric rehabilitation, spinal cord injury, brain injury, electrodiagnosis, and musculoskeletal medicine in addition to general rehabilitation. Residents receive four months of elective time to focus on developing their specific interests. Training in neurourology is provided as part of the rotation through the spinal cord injury service. Residents are required to complete a scholarly work of presentation quality by the end of their training. Residents take night-call on an average of once every eighth night with the frequency of call weighted by seniority, with night calls decreasing as you proceed through the program.

Although the actual order of rotations varies from resident to resident, a typical set of rotations includes:

Location

Rotation

Duration

EHC

Inpatient Services

2 rotations

EHC

Electrodiagnosis

2 rotations

EHC

Pediatric Rehabilitation Services/Outpatient Clinic

2 rotations

EHC

Consultation Service

2 rotations

MSH

Brain Injury

2 rotations

MSH

Spinal Cord Injury

2 rotations

MSH

Musculoskeletal Medicine (with interventional spine procedures)

2 rotations

MSH

Day Float

1 rotation

VAMC

Invasive Physiatry/Electrodiagnosis

1 rotation

VAMC

Outpatient Services/Pain Management/ Acupuncture

3 rotations

Your Choice

ELECTIVE

2 rotations

During your three years of residency, you will spend approximately 12 months at The Mount Sinai Hospital, 13 months at Elmhurst Hospital Center, seven months on the Rehabilitation Services at the James J. Peters VA Medical Center, and four months on an elective. Electives may be taken within the Mount Sinai Health System or at outside facilities.

Resident supervision is provided by the full-time and part-time medical staff of each affiliated hospital. Residents are usually assigned 10 to 13 patients while rotating through the inpatient units. Senior residents are expected to mentor junior residents. Three senior residents are selected each year, by the faculty and residents, to serve as Chief Residents. The department also sponsors an accredited fellowship training program in spinal cord injury medicine and sports medicine.

Most of our residency program is focused on patient care. However, extensive didactic instruction is provided through formal lecture sessions, conferences, and journal clubs. Weekly lectures cover all areas of rehabilitation. During your second year of training, you will participate in cadaver dissections of the back and extremities to enhance your knowledge of pertinent anatomy. During the dissection course, you will also be exposed to ultrasound imaging and injection techniques. As a resident, you are  required to take Objective Structured Clinical Examinations (OSCE), certifying you to administer injections. All residents are required to attend regional courses on prosthetics and orthotics. All senior residents are provided with financial support to attend the annual meeting of the American Academy of Physical Medicine and Rehabilitation or the Association of Academic Physiatrists. Support is also provided to residents who are presenting a paper at a national conference or seminar.